Maupangiri a shuga a Metformin

Mu shuga, Metformin imathandizira kuwongolera shuga. Kumwa mankhwalawa tikulimbikitsidwa mu vuto la matenda a shuga 2. Metformin ndikulimbikitsidwa kwa odwala matenda ashuga mellitus onse achire ndi prophylactic zolinga kuti achepetse prediabetesic boma. Kumwa mankhwala mu Mlingo wovomerezeka sikuvulaza thupi.

Zotsatira zamatenda a shuga

Mankhwala amadziwika ndi kutsitsa shuga chifukwa amatha kupondereza gluconeogeneis - izi ndizofunikira mu shuga. Mankhwala Metformin okhala ndi matenda amtundu 2 sayambitsa kapamba. Pachifukwachi, mankhwalawa samakhudza kapangidwe ka ndulu komanso ntchito yake m'matenda a shuga. Mphamvu ya mankhwalawa imachitika chifukwa cha mikhalidwe:

• kutsika kwa basal glucose chifukwa cha kayendedwe ka glycogenolysis (glycogen metabolism),
• kuletsa mapangidwe a shuga kuchokera ku zinthu zamafuta kapena zomanga thupi,
• kuchuluka kwa kusintha kwa shuga m'magayidwe am'mimba,
• Kuchepetsa mayamwidwe m'matumbo,
• kusintha kwa fibrinolytic machitidwe a magazi,
• kuchuluka kwa insulin receptor chiwopsezo, chomwe chimakhudza kuchepa kwa insulin kukana,
• zimathandizira kuti shuga adye m'minyewa.

Migwirizano Yogwiritsira Ntchito ndi Metformin

Njira zochizira matenda ashuga a Metformin a mtundu 2 amasankhidwa poganizira zovuta zomwe zimachitika chifukwa cha chotupa ndi momwe wodwalayo alili. The endocrinologist amakupatsirani mankhwala ngati angachitepo kanthu kapena nthawi yayitali. Mlingo wa mapiritsi umasankhidwanso mosiyanasiyana.

Zowonetsa kumwa mankhwalawa ndi zotere:

• mtundu wachiwiri wa matenda ashuga,
• kagayidwe kachakudya matenda
• kunenepa
• matenda otupa ovary,
• prediabetesic mkhalidwe.

Kupatula kuti Metformin imathandizira ndi matenda ashuga, mankhwalawa amagwiritsidwanso ntchito nthawi zambiri m'masewera akatswiri. Pogwiritsa ntchito chinthuchi, kulemera kwa osewera kumasinthidwa. Zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimathandizira kuchepetsa njala, zomwe zimathandiza kupewa kudya kwambiri komanso kukula kwa kunenepa kwambiri.

Mankhwalawa amagwiritsidwa ntchito pamaphunziro aatali kapena aafupi. Njira zochizira matenda ashuga pogwiritsa ntchito mankhwalawa zimakhudza njira zambiri zothandizira. Zochita izi zimakupatsani mwayi wopanga chipolopolo choteteza chomwe chimalepheretsa zovuta zoyambira kuzinthu zam'magazi.

Contraindication

Metformin ndi njira yotetezeka ya matenda ashuga, omwe amapezeka m'gulu la mankhwala a hypoglycemic. Komabe, mankhwalawa ali ndi zotsutsana pakugwiritsa ntchito:

• chiwindi kapena matenda a impso,
• matenda ashuga ketoacidosis, chikomokere,
• uchidakwa
• manjenje, matenda opatsirana,
• lactic acidosis,
• ntchito, kuvulala kapena kuwotcha kwakukulu,
• tsankho limodzi pazigawo zake.

Kwa odwala matenda a shuga, muyezo wa mankhwalawa umayamba ndi 500 kapena 1000 mg / tsiku. Mofananamo, wodwalayo adapangidwa kuti akonze zakudya panthawi yomweyo ngati akuchita zolimbitsa thupi. Zotsatira zoyipa, pambuyo pakuphunzira milungu iwiri, mlingo umakulitsidwa.

Kuchuluka kwake ndi 2000 mg / tsiku, koma kwa anthu okalamba omwe ali ndi matenda ashuga - 1000 mg / tsiku. Mankhwalawa amayenera kudyedwa ndi chakudya kapena pambuyo pake, kumwa madzi ambiri. Wodwala yemwe ali ndi matenda ashuga akanyalanyaza malangizo omwe dokotala amupatsa kuti athandizidwe.

Bongo

Kuchuluka kwa achire mlingo ali ndi zolakwika ndi ntchito ziwalo ndi machitidwe. Poyerekeza izi, wodwalayo ali ndi izi:

• kusapeza bwino mu peritoneum,
• mphwayi
• kusanza
• kupweteka kwa minofu
• vuto la kugona
• kutsegula m'mimba
• kusokonezeka kwamagalimoto,
• kutsitsa minofu kamvekedwe.

Vuto lalikulu la matenda ashuga ndi lactic acidosis. Izi zimatchedwa metabolic syndrome, zomwe zimatha kukhala ndi kudziwika kwa metformin. Izi matenda amapezeka zotere:

• osati odwala matenda a shuga
• ketoacidosis
• vuto la hypoxic
• ntchito zofooketsa
• kukana chakudya.

Malangizo apadera a kutenga Metformin

Panthawi ya chithandizo cha matenda ashuga, ntchito ya impso iyenera kuyang'aniridwa. Ndikofunika kuchita kafukufuku wokhudza kuchuluka kwa lactate mu magazi kangapo pachaka. Kamodzi pa miyezi isanu ndi umodzi, onetsetsani kuchuluka kwa creatinine. Kuphatikizika ndi sulfonyl urea, ngakhale kuvomerezeka, kumangoyang'aniridwa ndi glycemia.

Mimba komanso kuyamwa

Amayi oyembekezera samalimbikitsidwa. Ngati ndi kotheka, mankhwala a insulin amagwiritsidwa ntchito panthawiyi. Popeza kafukufuku yemwe amatsimikizira kuti mankhwalawa amatha kulowa mkaka kudzera mkaka wa m'mawere sanaphunzire, azimayi othandizira nawonso sanapatsidwe mankhwalawa. Ngati vutolo likuvuta, siyani msambo.

Kugwiritsa ntchito Metformin mwa ana ndi okalamba chifukwa cha matenda ashuga

Kuletsa kugwiritsa ntchito mankhwalawa ndi kwa zaka zosakwana 10. Kuletsa koteroko kumachitika chifukwa cha kusazindikira bwino kwa mankhwalawa pamthupi la ana. Mankhwalawa amagwiritsidwa ntchito pochiza odwala omwe ali ndi zaka zocheperako ngati msinkhu wa monotherapy kapena kuphatikiza ndi insulin.

Chachilendo chogwiritsa ntchito mankhwalawa pokhudzana ndi odwala omwe akupuma pantchito ndikufunika kuwunika momwe impso ikuyendera ndikuwunikira kuchuluka kwa creatinine m'magazi kawiri pachaka.

Ma Analogs a Metformin

Zofananira zachipatala za mankhwala omwe ali ndi zofanana ndi izi:

Komanso, mankhwalawa amatha kusintha ndi Glformin chifukwa cha matenda ashuga. Metformin, monga ma fanizo ena, amatha kusintha mayankho a maselo, kutulutsa insulin mwachangu. Pofuna kupewa zovuta, tikulimbikitsidwa kuyang'anitsitsa mathandizidwe azachipatala omwe adokotala amapangira, omwe ali ndi Mlingo wokhazikitsidwa, nthawi yogwiritsira ntchito.

Metformin komanso kupewa matenda ashuga

Mankhwala tikulimbikitsidwa popanda matenda a shuga, monga prophylactic. Ayikidwa kwa ndani:

• anthu odwala matenda ashuga
• anthu onenepa
• ngati pali zizindikiro zosasunthika pakupezeka kwa shuga.

Mlingo wovomerezeka wa prophylactic umafikira 1000 mg tsiku lililonse. Anthu onenepa amafuna kuchuluka kwa 3000 mg.

Metformin imalepheretsa shuga. Omwe amamwa mankhwalawa amayenera kutsata nthawi yomweyo zakudya zamagulu ochepa a calcium komanso zolimbitsa thupi zolimbitsa thupi. Glucose iyenera kuyesedwa mosalekeza.

Kwa Metformin pamaso pa anthu odwala matenda ashuga, ndemanga nthawi zambiri zimakhala zabwino.

Zaka zingapo zapitazo ndidapezeka ndi matenda a shuga. Glibenclamide idalembedwa. Komabe, patapita kanthawi, dotolo yemwe adalipo adandisamutsira ku Metformin. Ndazindikira kuti mavuto ochepa adayamba kuoneka, ndipo mankhwalawo anali otsika mtengo kwambiri kuposa ma analogu ena. Mlingo wa shuga umakhala wokhazikika, umakhala wabwinobwino, kukhala bwino kwakhala patsogolo kwambiri.

Dmitry Karpov, wazaka 56

Metformin adavomerezedwa ndi endocrinologist pomwe ndimayesetsa kudziwa kuti vuto langa la kunenepa limakhudzana ndi chiyani. Chizindikiro cha glucose chinali pamalo apamwamba a chizolowezi. Zina zonse zamaumbo kagayidwe zimakhalabe zabwinobwino. Dotolo adayambitsa Metformin kuti adye ochepa-carb. Kwa miyezi itatu adataya 10 kg. Metformin inandithandiza kuthana ndi vuto langa komanso kusintha moyo wanga.

Serafima Sedakova, wazaka 52

Dzina langa ndine Andrey, ndakhala ndikudwala matenda ashuga kwa zaka zoposa 35. Zikomo chifukwa chakuyendera tsamba langa. Diabei za kuthandiza anthu odwala matenda ashuga.

Ndimalemba nkhani zokhudzana ndi matenda osiyanasiyana ndipo ndimalangiza pandekha anthu aku Moscow omwe amafunikira thandizo, chifukwa pazaka zambiri zapitazi ndawona zinthu zambiri kuchokera pazomwe ndakumana nazo, ndayesera njira zambiri ndi mankhwala. Chaka chino cha 2019, matekinoloje akutukuka kwambiri, anthu samadziwa za zinthu zambiri zomwe zidapangidwa pakalipano kuti akhale ndi moyo wabwino wa anthu odwala matenda ashuga, motero ndidapeza cholinga changa ndikuthandizira anthu omwe ali ndi matenda ashuga, momwe angathere, kukhala osavuta komanso osangalala.

Kodi ndi mtundu uti wa shuga womwe Metformin amatchulidwa?

Metformin ndi imodzi mwamankhwala omwe amadziwika kuti amathandizira odwala matenda ashuga, ngati palibe zotsatira kuchokera ku chithandizo chamankhwala komanso zolimbitsa thupi. Komabe, mankhwalawa amagwiritsidwanso ntchito ngati polycystic ovary syndrome, matenda a impso, kulephera kwa mtima, komanso mavuto a chiwindi.

Metformin imagwiritsidwanso ntchito pochiza matenda a prediabetes, omwe amachepetsa kwambiri vuto la matenda ashuga a 2. Zimathandizira kuti maselo amwe insulin, komanso shuga wochepa.

Mtundu wachiwiri wa matenda ashuga, shuga amakhala ambiri pamwamba pa 7.9 mmol / L. Ndi zizindikirozi, kulandira chithandizo mwachangu ndikofunikira, zovuta zomwe zimaphatikizapo chithandizo cha zakudya, zolimbitsa thupi ndi chithandizo chamankhwala.

Momwe Metformin Imakhudzira Matenda A shuga

Metformin amatengedwa ngati mankhwala othandizira matenda a shuga a mtundu wachiwiri. Zimathandizira kuchepetsa kuchuluka kwa shuga komwe umatulutsidwa ndi chiwindi. Kuphatikiza apo, insulin ya mahomoni imayamba kuwoneka bwino ndi maselo amthupi, kuthandiza minofu kuti izigwiritsa ntchito moyenera.

Mankhwalawa ndi a gulu la Biguanides, omwe ali ndi zinthu zotere:

• kuchepetsa kuchuluka kwa shuga wopangidwa ndi chiwindi,
• kusintha insulin chiwopsezo cha maselo,
• ziletsa matumbo mayamwidwe.

Mankhwalawa sangathe kuchiritsa munthu wodwala matenda ashuga, koma kuphatikiza koyenera kwa mankhwala, kudya komanso kuchita masewera olimbitsa thupi kungathandizenso matenda a shuga.

Kukhazikika kwa ndende ya magazi, komwe kumachitika pogwiritsa ntchito Metformin, kumathandiza kupewa zovuta za matenda ashuga, monga mtima, kukanika, kuwonongeka kwa impso, maso ndi mitsempha.

Momwe mungatenge Metformin pa matenda ashuga

Mlingo wosankhidwa bwino ndi wofunikira kwambiri pakuchiza, chifukwa samathandizira kuchepetsa kuchuluka kwa shuga, komanso kusintha kwa chiwopsezo cha insulin.

Imwani mankhwalawa pakamwa, nthawi zambiri katatu patsiku ndi chakudya. Mukatha kumwa, muyenera kumwa mapiritsi ndi madzi ambiri.

Mtundu woyamba wa shuga

Pochiza matenda a shuga 1, Metformin sagwiritsidwa ntchito, chifukwa sangathe kukhudza maselo. Izi ndichifukwa choti ndi mtundu wamatendawa maselo amatha kudziwa insulini, komabe, kapamba amatulutsa kachulukidwe ka timadzi tambiri kapena samatulutsa konse, chifukwa chake, mulingo wa glucose m'magazi umakwera.

Type 2 shuga

Mlingo wa matenda ashuga a 2 amawerengedwa potengera zomwe zimachitika munthu komanso kupezeka kwa matenda omwe ali kale. Mankhwala amatchulidwa kuganizira zinthu zosiyanasiyana, monga:

• zaka
• zambiri
• matenda ophatikizika
• kumwa mankhwala ena
• kakhalidwe
• mankhwala.

Kuti mupeze phindu lokwanira kuchokera ku chithandizo, muyenera kutsatira mosamala malangizo a dokotala.

• Kwa akuluakulu (kuyambira zaka 18). Mlingo woyamba nthawi zambiri umakhala 500 mg 2 kawiri pa tsiku, kapena 850 mg kamodzi patsiku. Mankhwala ayenera kumwedwa ndi zakudya. Zosintha muyezo zimayikidwa ndi adokotala: zimachulukitsidwa ndi 500 mg pa sabata kapena 850 mg mu masabata awiri. Chifukwa chake, mlingo wonse ndi 2550 mg patsiku. Ngati mulingo wokwanira uposa 2000 mg patsiku, ndiye kuti uyenera kugawidwa m'magawo atatu. Mlingo wovomerezeka waukulu ndi 2550 mg patsiku.
• Kwa ana (wa zaka 10 mpaka 17). Mlingo woyamba ndi 500 mg patsiku, womwe umagawidwa pawiri. Popanda kuwongolera kuchuluka kwa shuga, mulingo umakwera kufika pa 1000 mg ndipo umatengedwa kawiri patsiku. Pambuyo pake, gawo limatha kuwonjezeka ndi wina wa 1000 mg. Mlingo wololeka wambiri ndi 2000 mg patsiku.

Zotsatira zoyipa

Monga mankhwala aliwonse, metformin imatha kuyambitsa mavuto. Mwa iwo, kuphwanya machitidwe osiyanasiyana amthupi kulembedwa:

• dongosolo lamanjenje: kusokoneza kukoma, mutu,
• khungu: zotupa, kuyabwa, urticaria, erythema,
• m'mimba thirakiti: nseru, kutentha pa chifuwa, kutsegula m'mimba, kusokonezeka m'mimba, kupweteka m'mimba, kusanza,
• psyche: manjenje, kusowa tulo.

Zotsatira zotere sizifunikira chithandizo chapadera, kuwonjezera pa kusintha kwa mlingo. Nthawi zambiri, zimatha patatha masiku angapo kapena milungu ingapo.

Ngati zotsatira zoyipa zikuchuluka komanso kusowetsa mtendere, muyenera kulumikizana ndi ambulansi. Zinthu ngati izi zitha kukhala zowopsa pamoyo wamunthu. Pankhani ya lactic acidosis, zizindikiro zotsatirazi ziwoneka:

• kutopa
• kufooka
• kupweteka kwa minofu
• kupuma movutikira
• kugona
• kupweteka kwambiri m'mimba
• chizungulire
• kuthamanga komanso kosakhazikika kwa mtima.

Kuphatikiza apo, Metformin ingayambitse kuchepa kwambiri kwa ndende yamagazi, yomwe imayendera limodzi ndi zizindikilo zotere:

• mutu
• kufooka
• kunjenjemera m'thupi
• chizungulire
• kusakhazikika
• thukuta
• njala
• zokonda mtima.

Mankhwala amatha kusokoneza thupi la munthu m'njira zosiyanasiyana. Chifukwa chake, pakakhala zovuta, muyenera kusiya kumwa ndipo nthawi yomweyo funsani kwa dokotala kuti musinthe mankhwalawa.

Madokotala amafufuza

Metformin ndi mankhwala ofunikira othandizira ovuta a 2 a shuga. Chofunikira ndi chithandizo cha zakudya, koma Metformin imathandiza maselo a anthu kuyamwa insulin. Odwala ambiri amasintha kuchuluka kwa shuga m'masiku 10 oyambirira a chithandizo. Chithandizo chotsatira ndikofunikira kusunga zotsatira.

Alexander Motvienko, endocrinologist.

Timapereka mankhwala a metformin kwa odwala athu kuti athandizire insulin kumva komanso kuchepetsa matumbo a glucose. Mankhwalawa amathandiza thupi kuthana ndi matendawa popanda kugwiritsa ntchito insulin. Odwala ambiri amaiwala kumwa mankhwalawa panthawi, chifukwa cha izi, chithandizo sichothandiza ndipo amasintha jakisoni. Komabe, anthu ambiri omwe amatsatira malingaliro athu amakhala ndi njira yabwino yothandizira pakulandila.

Victoria Yakovleva, endocrinologist.

Ndemanga Zahudwala

Ndili ndi matenda a shuga a 2, motero ndimamwa Metformin kawiri pa tsiku 500 mg. Nditayamba kuona kuwongolera, ndasiya kuchepa thupi ndipo zinthu zanga zonse zikuyenda bwino. Sindimawona mavuto aliwonse.

Ndinapezeka kuti ndili ndi matenda a shuga 2 miyezi 1.5 yapitayo. Mulingo wanga wa shuga anali 15.8. Dokotala adakhazikitsa Metformin 500 mg kamodzi patsiku la sabata loyamba komanso kawiri patsiku. Patatha mwezi umodzi, thanzi langa linayamba kuyenda bwino, shuga amawasunganso pafupifupi 7.9. Ndinasinthanso kudya pang'ono popewa kutsekula m'mimba.

Metformin amatanthauza mankhwala omwe amathandizira kuti pakhale shuga wachiwiri. Zimawonjezera chidwi cha maselo ku insulin ndipo zimalepheretsa kupanga shuga ndi chiwindi. Zina mwazotsatira zoyipa, zotchulidwa kwambiri zimaphatikizanso kuphwanya kwam'mimba. Metformin imathandizira kuchiza matenda amtundu wa 2, komabe, pali magulu a anthu omwe amatsutsana pamankhwala awa.

Ndi liti pomwe simungagwiritse ntchito metformin?

Metformin sayenera kugwiritsidwa ntchito ngati:

• Matenda a ziwalo zofunika (izi ndizosokoneza pogwira impso, mtima, chiwindi, ubongo, matenda am'mapapo),
• uchidakwa
• kupezeka kwa zovuta za matenda ashuga (kuchepa madzi m'thupi, matenda a shuga),
• mpaka maola 48 mutatha kugwiritsa ntchito mankhwala osiyanitsa,
• pantchito,
• vuto la kuchepa kwa magazi m'thupi la vitamini B12 (vuto la kuchepa magazi m'thupi).

Kodi SR ndi Metformin XR ndi chiyani?

Kuphatikiza pa metformin yokhazikika, metformin imapezekanso mumapangidwe okhazikika.Mapangidwe amenewo ali ndi dzina kapena mwachidule SR XR monga Metformax SR 500 kapena kapangidwe kamene kali ndi 500 mg ya metformin yotulutsa

Kutulutsidwa kwamakonzedwe kumaphatikizapo chiopsezo chotsika kwambiri chamatumbo.

Metformin sikuti pano chifukwa chovomerezeka ngati mankhwala oyamba kwa odwala omwe ali ndi matenda a shuga a 2, kugwiritsidwa ntchito kwake kumaphatikizapo zinthu zingapo zabwino:

Kuchepetsa pafupipafupi zovuta za matenda ashuga. Metformin yawonetsedwa kuti ikuchepetsa ma- micro- ndi macroangiopathies.

Kuchepetsa kwa 42% pachiwopsezo cha kuphedwa ndi matenda ashuga, 39% kuchepetsa matenda amtima komanso chiwopsezo cha 41%. Ndikofunika kudziwa kuti zabwino zotere sizikuwoneka mwa odwala omwe amangogwiritsa ntchito insulin kapena sulfonylurea, ngakhale magazi a magazi atakhala olamulidwa mokwanira.

Palibe mavuto obwera chifukwa cha hypoglycemia (zomwe zingatheke ngati mukumwa insulin kapena sulfonylurea kukonzekera). Metformin siyimayambitsa hypoglycemia, chifukwa siyambitsa kubisirana kwa insulin ndi kapamba.

Palibe phindu lolemera, ndipo nthawi zina - ngakhale mutagwiritsidwa ntchito nthawi zonse, pamakhala kuchepa kwa thupi,

Itha kugwiritsidwa ntchito ndimankhwala ena a antiidiabetes ndi insulin,

Mwadzidzidzi zimachitika zovuta zoyipa,

Zotsatira zabwino zimatsimikiziridwa ndi zotsatira za kuyesa kwa magazi (kuchepa kwa triglycerides, kuchepa kwa cholesterol "yoyipa" LDL, kuchuluka kwa "good" HDL cholesterol).

Malamulo a Kulandila Odwala

Malangizo omwe amatenga Metformin pochiza matenda omwe amapezeka a shuga ndi amodzi kwa wodwala aliyense. Malangizo amasankhidwa ndi adotolo ndipo zimatengera mawonekedwe a matendawa.

Dokotalayo amapereka mankhwala ngati mufunika kuchita nthawi yomweyo kapena nthawi yayitali. Mlingo wa mapiritsi (500, 750, 800, 1000 mg) amasankhidwa payekha.

Mulingo wovomerezeka wa mankhwala ndi magalamu awiri patsiku. Izi sizitanthauza kuti wodwalayo ayenera kumwa mankhwalawa. Mlingo wake umasankhidwa ndi adotolo pozindikira zomwe zimasintha m'magazi a shuga. Kuti mumve bwino za thanzi la wodwalayo, adotolo ayenera kusanthula izi kwakanthawi.

Nthawi zina wodwala matenda a shuga a mtundu wachiwiri, mlingo wovomerezeka wa tsiku lililonse umakulitsidwa mpaka magalamu atatu, koma pokhapokha ngati dokotala akuvomerezani. Sitikulimbikitsidwa kudziyimira pawokha kapena kuchepetsa mlingo wa mankhwala omwe alangizidwa ndi katswiri, apo ayi chiopsezo chokhala ndi zotsatira zoyipa ndichabwino. Mlingo wa mankhwalawo ukachuluka, odwala amakumana ndi hypoglycemia, mkhalidwe wowopsa womwe umayamba chifukwa cha kuchepa kwambiri kwa ndende yamagazi.

Piritsi limodzi la mankhwalawa limatengedwa kawiri katatu katatu patsiku, kutengera mtundu wa mankhwala omwe adokotala akhazikitsa, komanso kuchuluka kwa zinthu zomwe zimagwira piritsi. Mankhwalawa amameza popanda kutafuna, kumwa madzi ambiri. Mankhwala tikulimbikitsidwa kuti amwe pambuyo chakudya. Metformin yosasinthidwa imatengedwa popanda chakudya. Izi sizikhudza kugwira ntchito kwake, chifukwa zinthu zomwe zimagwiritsidwa ntchito ndi mankhwalawa zimamasulidwa pang'onopang'ono.

Momwe mungatenge Metformin ndi matenda a shuga zimatengera zinthu izi:

• Mlingo wa mapiritsi
• Mlingo wa tsiku ndi tsiku womwe adokotala amalimbikitsa
• mtundu wa mankhwala.

Ngati wodwala akuwonetsedwa akutenga 1 g ya Metformin patsiku, muyenera kufunsa dokotala za regimen. Mlingo wa tsiku ndi tsiku womwe ungalimbikitsidwe ungagawidwe mu 2 kapena 4 Mlingo, lingaliro liyenera kuchitika ndi dokotala.

Mapiritsi otsekemera osunthika, limagwirira ntchito yomwe imakhazikika pang'onopang'ono pothandizidwa pang'onopang'ono, amatengedwa nthawi 1 patsiku, mutatha kudya.

Kumwa Metformin mukatha kudya ndikofunikira kuti muchepetse chiopsezo cha zotsatira zoyipa m'mimba.

Kodi mankhwalawa amagwira bwanji ntchito m'mimba?

Metformin yokhudza matenda a shuga a 2 ndiye maziko othandizira matendawa. Mankhwala amathandizira:

• kutsika kwa shuga m'magazi,
• kuchepa insulin kukana,
• kusintha kwa glucose chiwopsezo cha maselo,
• chepetsani vuto la zovuta.

Pochiza matenda a shuga a mtundu wachiwiri, Metformin amatulutsa cholesterol ndipo amachepetsa thupi.

Amalembera odwala matenda ashuga, olemedwa ndi kupezeka kwa owonjezera thupi, komanso kuchepetsa matenda a cholesterol. Pazifukwa zomwezo, mankhwalawa amalimbikitsidwa kuti agwiritsidwe ntchito kwa odwala omwe ali ndi matenda a shuga omwe amadalira insulin. Mtundu woyamba wa matenda ashuga, mapiritsi a Metformin amawonjezera insulin, koma osabweza.

Pali mitundu iwiri ya mankhwalawa - pompopompo komanso nthawi yayitali. Ndi mtundu wanji wa mankhwala omwe Metformin ayenera kusankhidwa ayenera kuonana ndi dokotala.

Phindu la mankhwala omwe mumawonjezereka ndi monga kusakhalapo kwa mavuto. Mankhwala oterewa ndiwothandiza kumwa, popeza piritsi limodzi patsiku ndilokwanira kupereka mtundu wa shuga.

Iwo omwe amakhulupirira kuti ndikokwanira kumwa piritsi limodzi kuti mumve zotsatira zake, muyenera kudziwa kuti mankhwalawa amayamba pambuyo pa masabata angapo ogwiritsa ntchito pafupipafupi. Zotsatira zake sizikuwoneka tsiku lachiwiri, kusintha kwa thanzi la wodwalayo kumadziwika sabata lachitatu atayamba chithandizo.

Kutalika kwa njira yochiritsira kumatenga nthawi yayitali kutengera wodwala.

Madotolo amakonda kuchiza matenda amtundu wa 2 shuga ndikamadya komanso kuwonjezereka kwa thupi, koma si onse odwala omwe amatsatira zakudya zopatsa thanzi. Zotsatira zake ndi chiwopsezo chowonjezeka cha zovuta za shuga. Pankhaniyi, mankhwala amalembedwa ndipo nthawi zina chithandizo cha Metformin chimakhala moyo wonse.

Dziwani zambiri zamomwe mungatenge Metformin wa mtundu 1 kapena mtundu 2 wa shuga. Ndikofunika kukumbukira kuti mankhwalawa sanatengedwe pazotsatirazi:

• matenda a impso, chiwindi, mtima ndi mapapu,
• ubongo matenda,
• wodwala matenda ashuga
• zovuta zingapo mu shuga,
• kuchepa magazi

Mankhwala sangathe kumwedwa masiku awiri musanayesedwe pogwiritsa ntchito sing'anga. Poterepa, mankhwalawa amakhudza zotsatira za mayeso.

Mukamamwa mankhwalawa, odwala amatha kupeza zotsatira zoyipa kuchokera kugaya chakudya. Nthawi zambiri pamakhala mseru, kuphwanya chopondapo, kutsegula m'mimba. Mwina kuoneka kwa ululu wodutsa msanga m'mimba. Mutakumana ndi zizindikiro zoterezi, muyenera kufunsa dokotala kuti musinthe mankhwalawo. Nthawi zambiri, mavuto amayambika patatha masiku ochepa chiyambireni kumwa mankhwalawa.

Kugwiritsa ntchito mankhwalawa tsiku lililonse moyenera kumapangitsa kukula kwa hypoglycemia.

Kumwa mankhwala osokoneza bongo

Metformin ndimachiritso a shuga, koma imagwiritsidwanso ntchito pazinthu zina. Mankhwalawa amathandizira chiwopsezo cha maselo ku glucose ndipo amathandizira kuti azitha kuyamwa, osalola kuti achulukane m'magazi. Magulu a cholesterol nawonso amatulutsa. Zonsezi zimathandiza kuchepetsa thupi mwa anthu.

Metformin mu kunenepa kumathandizira kuti kagayidwe kazikhala, koma pokhapokha njira yoyenera yochepetsera thupi. Gwiritsani ntchito mapiritsi ndi Metformin kuti muchepetse thupi mutatha kufunsa dokotala. Kuti mukwaniritse zotsatira zomwe mumayembekezera, mumafunika kudya, kukana zakudya zamafuta othamanga komanso kuchita masewera olimbitsa thupi pafupipafupi.

Ngati palibe matenda a shuga, wodwala aliyense amasankha phindu komanso kuvulaza pomwa mankhwalawo. Mankhwalawa siowotcha mafuta. Sizimachepetsa kumverera kwa njala ndipo sizimathandizira pakuwonongeka kwa mafuta. Kumwa mankhwalawa kumathandizira kuchepetsa kutsika kwa shuga. Chifukwa chomwa mankhwalawa, chinthu ichi chimatengedwa ndi minofu ya minofu ndikuyamwa ngati mafuta a thupi. Mukutaya thupi, mafuta amthupi amadyedwa kwambiri.

Nthawi zambiri, akakhala kuti amachepetsa thupi, azimayi amachepetsa zakudya zamafuta ndi mafuta, koma amazindikira kuti zosanjikiza zamafuta zimakhalapobe, m'malo mwake minofu yambiri imachepa. Izi zimachitika ndi njira yolakwika pankhani yakuonda. Kutenga Metformin kumathandizira kuchepetsa mafuta, osati minofu.

Kodi ndingatenge metformin kuti ndichepetse thupi? Madokotala amalimbikitsa maphunziro othandizira, omwe amakhala osapitilira masabata atatu. Pa mankhwala, mankhwalawa amatengedwa kawiri tsiku lililonse, piritsi limodzi lokhala ndi 500 mg. Kwa odwala onenepa kwambiri, ndizotheka kutenga 1.5 g ya Metformin, koma monga mwauzidwa ndi dokotala.

Kodi ndikotheka kumwa mankhwala kuti mupeze chithunzi chabwino? Aliyense ayenera kusankha payekha. Mankhwala si piritsi "lozizwitsa", lomwe m'masiku ochepa limakupulumutsani ku mapaundi owonjezera. Mapiritsi amathandizira kukonza kadyedwe komanso masewera olimbitsa thupi, koma popanda kudya, Metformin sipindula. Mankhwala samavulaza thupi ngati atengedwa mogwirizana ndi malangizo ndipo wodwalayo alibe zotsutsana popereka mankhwala.

Munthu wolangidwa amene amayamba kuchepa thupi amadzakwaniritsa cholinga chake osatenga Metformin. Ngati mumasamala kwambiri zakudya, muzichita masewera olimbitsa thupi pafupipafupi komanso kusiya zizolowezi zoipa, zotsatira zake sizikhala zazitali, ngakhale osamwa mankhwala apadera.

Metformin sikuvulaza thanzi mukamamwa moyenera, koma musanayambe kumwa mankhwala aliwonse, muyenera kuonetsetsa kuti palibe zotsutsana ndi munthu aliyense payekha. Kudzidzidzimutsa nokha kungayambitse kukulitsa zotsatira zoyipa.